Serotonin syndrome E34.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

Synonym(s)

serotoninergic syndrome; serotonin syndromes

Definition
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Disease caused by an excess of serotonin in the brain, which is usually triggered by medication.

Etiopathogenesis
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Mainly triggered by combinations of drugs that inhibit the breakdown of serotonin (e.g. MAO inhibitors, SSRI).

Clinical features
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Symptoms of serotonin syndrome:
  • Autonomic vegetative symptoms: e.g. pulse rate increase, sweating, nausea, diarrhoea, rapid breathing, headache, pupil dilation.
  • Symptoms of central nervous excitation: e.g. restlessness, hallucinations, disturbances of consciousness, coordination disorders.
  • Neuromuscular symptoms: e.g. cramps, seizures, increased reflexes, tremor.

Therapy
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The therapy is purely symptomatic. A specific antidote is not known yet.

Literature
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  1. Jimenez-Genchi A (2006) Immediate switching from moclobemide to duloxetine may induce serotonin syndrome. J Clin Psychiatry 67: 1821-1822
  2. Steinberg M et al (2007) Mild serotonin syndrome associated with concurrent linezolid and fluoxetine. At J Health Syst Pharm 64: 59-62

Incoming links (1)

Fluoxetine;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020